| NPI | 1396008025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 64771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX Q9464) |
| 208000000X Pediatrics (Licence: TX Q9464) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 182311) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2025-04-14 |